| NPI | 1093161432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YURIC JUI-SHIH CHANG Ownwer/CEO 978-537-3570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA 18617) |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2016-05-04 |